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The Developments and Iterations of a Mobile Technology-Based Fall Risk Health Application
Katherine L Hsieh1, Mikaela L Frechette2, Jason Fanning3
1Department of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, United States.
Frontiers in Digital Health
|May 16, 2022
Summary
Mobile health apps can personalize fall risk screening for older adults, individuals with Multiple Sclerosis (MS), and wheeled-device users. Tailored app design and specific fall risk factors are key for effective mobile health (mHealth) fall prevention.
Area of Science:
- Gerontology
- Neurology
- Rehabilitation Engineering
Background:
- Falls pose a significant health risk in clinical populations, yet routine screening is limited by time and cost.
- Mobile technology presents a viable solution for accessible, personalized fall risk assessment.
- Existing fall risk screening methods often lack population-specific considerations and technological integration.
Purpose of the Study:
- To develop and test mobile health (mHealth) fall risk screening applications for older adults, individuals with Multiple Sclerosis (MS), and wheeled-device users.
- To identify key lessons learned and future directions for improving mHealth fall risk applications.
- To evaluate the feasibility and usability of smartphone-based fall risk assessment tools.
Main Methods:
- Identified population-specific fall risk factors measurable by mobile technology.
- Assessed the capability of smartphone inertial measurement units (IMUs) to measure postural control.
- Employed user-centered design and iterative usability testing for app interface development.
- Conducted real-world testing of developed fall risk applications.
Main Results:
- Demonstrated that mobile technology can effectively provide personalized fall risk screening across diverse clinical groups.
- Highlighted the importance of tailoring fall risk apps to specific user populations for enhanced utility and feasibility.
- Confirmed that mobile technology can accurately measure relevant, population-specific fall risk factors.
Conclusions:
- Mobile health applications offer a promising avenue for personalized fall risk screening in clinical settings.
- Future mHealth fall risk tools must prioritize user-centered design, population-specific metrics, and robust algorithms.
- Integration of validated mobile technology into established fall prevention programs is recommended.

